Developing a Core Set of Metrics for Employee Health...
Transcript of Developing a Core Set of Metrics for Employee Health...
Developing a Core Set
of Metrics for Employee
Health Management
Background
• Employer members asked HERO to initiate work to create a core set of metrics that all suppliers would measure
• In February, 2011, HERO and Care Continuum Alliance met to outline a collaborative approach to address this need
• Our belief is this is a requirement as the health management industry matures
• Our hope is to include all non-profit organizations in supporting these recommended metrics
The Health Enhancement Research Organization (HERO)
Non-profit 501(c)3 founded in 1996
HERO Vision is to promote a culture of health and performance through employer leadership
HERO Mission is to promote a healthy and high-performing workforce through evidence-based health management as a core business imperative
ABOUT HERO ACTIVITIES
COMPANY OVERVIEW
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The Voice of the Population Health Industry
• Conducts research
• Advocates on behalf of a population health
improvement model for better health outcomes and
controlling health care costs
• Represents stakeholders along the continuum of care:
employers, providers, insurers, brokers, technology
developers, benefits consultants
• Common goal: improving care coordination, risk
stratification, quality and accountability through patient
and physician engagement and better use of technology
Project Objectives
• Clinical judgment and (versus) quality processes
• Create a complete and consistent set of EHM
measures and standards to facilitate process
improvement
• Measures and standards are necessary to take
advantage of the window of opportunity to
move the industry forward
• Measures and standards will help us complete
the transition from clinician-based programs to
data-driven, health improvement processes
Collaborating Organizations ActiveHealth Management Johnson & Johnson Aetna Kaiser Permanente Alere Mayo Health Solutions AllOne Health Mercer American Specialty Health Midwest Business Group on Health APS Healthcare National Business Group on Health Boeing NCQA
Capital Blue Cross NQF Care Continuum Alliance Nurtur CMI Media Onlife Health Ethicon Endo-Surgery OptumHealth eVive Health Prudential Geisinger RAND Corporation Health 2 U / HCA Redbrick Health Health Dialog Riedel & Associates Consultants Health Improvement Solutions, Inc. StayWell Health Management HealthFitness Truven Health Analytics HealthStat University of Alabama HERO University of Michigan Hooper Holmes URAC Human Resources Institute WebMD IHPM WellSteps
Project Structure
Organizational Support
Health Impact Satisfaction Participation Financial
Outcomes Productivity & Performance
VALUE ON INVESTMENT
DEFINING THE DOMAINS
Value on Investment: Direct, indirect and tangential costs, financial outcomes
and defining a value framework
Financial Outcomes: Health care cost (medical and pharmacy), absence, disability, workers
compensation
Health Impact: Change in health status associated with preventable health conditions and
resulting from health promotion program participation
Organizational Support: The degree to which an organization commits to the health and well-
being of its employees.
Participation: Evaluate participation in EHM programs that can be associated with producing a
positive impact on health-related outcomes
Productivity & Performance: Quantifies worker presence at work, both physically and mentally
Satisfaction: Client satisfaction, participant satisfaction
The Work Product For each of the seven domains:
• Definition of each domain
• Evaluation of existing measures and overarching
issues
• Recommended measures
Recommended
standards (where
enough evidence exists
to make a
recommendation)
Value on Investment
• Ultimately, all other metrics feed into VOI
• Each employer’s circumstances (size, health benefit
structure, program scope, cost, etc.) will dictate that
somewhat different elements and weighting will
contribute to program evaluation.
• Question: How to balance disparate measures, varying
degrees of certainty regarding outcomes, and specific
employer needs and values to arrive at a sensible
assessment of program value?
• The VOI workgroup has created a framework for
answering this question.
Organizational Support
Scope: The degree to which an organization commits
to the health and well-being of its employees.
Key Elements •Company stated health values
•Health-related policies
•Supportive environment
•Organizational structure
•Leadership support
•Resources & strategies
•Employee involvement
•Rewards & recognition
Health Impact
Scope
• A minimum set of measures and metrics
• Intended to capture the majority of the
variance in the change in health status
• Associated with preventable health conditions
• Resulting from health promotion program
participation.
Key Elements
• Physical health
• Mental/emotional health
• Health behaviors
Participant & Client Satisfaction
Scope: Propose and define measures and metrics
of Participant and Client Satisfaction
Key Elements - Participant •Overall satisfaction (including Loyalty)
•Effectiveness
•Scope
•Convenience
•Communications
•Member Experience
•Cost
•Benefits
Key Elements - Client • Overall satisfaction (including
Loyalty)
• Effectiveness
• Value
• Scope
• Member Experience
• Account Management
• Reporting
Participation
Scope
• Recommend definitions and measures to evaluate
participation in EHM programs
• Participation is closely aligned with active vs. passive
involvement in an EHM program
Key Elements
Contacts are two-way interactions, whether they are:
• In-person
• By phone
• Via web-technology interface
• Via a combination of modalities
Financial Outcomes
Scope: Measures and guidance
for employers to evaluate the
healthcare claims cost impact of
their EHM program.
Key Elements
•Appropriateness of direct claims
•Measuring and reporting fiscal savings
•Guidance on working with analysts
•Strengths and weaknesses of common methods
Productivity & Performance
Scope: Quantify worker presence at work,
both physically and mentally.
Key Elements
•Worker presence/absence
•Worker output and performance while at work